ORDER OF THE MINISTER OF DEFENCE OF THE REPUBLIC OF KAZAKHSTAN

of April 18, 2024 No. 389

About modification and amendments in the order of the Minister of Defence of the Republic of Kazakhstan of September 5, 2019 No. 699 "About approval of Rules of medical support of flights of the state aircraft of the Republic of Kazakhstan"

I ORDER:

1. Bring in the order of the Minister of Defence of the Republic of Kazakhstan of September 5, 2019 No. 699 "About approval of Rules of medical support of flights of the state aircraft of the Republic of Kazakhstan" (it is registered in the Register of state registration of regulatory legal acts at No. 19372) the following changes and amendments:

in Rules of medical support of the flights of the state aircraft of the Republic of Kazakhstan approved by the specified order (further – Rules):

state Item 5 in the following edition:

"5. The aviation personnel decreasing and the newcomer in air units, and also on arrival from the main labor leave and business trips (24 calendar days and more) or treatments, have extraordinary (unplanned) medical examination.";

7, of 8, 9 and 10 to state Items in the following edition:

"7. The pilots, navigators, onboard conductors, cadets (listeners) of flight educational institutions and officials performing functions in flight as a part of crew of the aircraft (further – aircrew), persons performing management and management of flights, operators of air traffic control, operators of the pilotless aircraft (further – BVS) and parachutists with the revealed diseases or injuries interfering accomplishment of professional activity are discharged of flights, management of flights, air traffic control, managements of BVS or parachute jumps and goes to military-medical (medical) divisions of military unit or organization (further – medical divisions of air unit) to physical examination or treatment.

The health service of air unit in case of the admission of aircrew and parachutists to professional activity is guided by approximate terms of the admission to professional activity after recovery after the postponed diseases and injuries according to appendix 1 to these rules.

8. To the aviation personnel having variations in the state of health with the preventive or medical and improving purpose the medical physical culture is appointed. The aircrew and parachutists needing for health reasons restriction of physical activity and who entered the list of group of medical physical culture are not allowed to flights and parachute jumps.

9. To aircrew periodic medical examinations are performed in medical division of air unit once in 3 months according to the plan of dynamic observation of aviation personnel of the state aircraft, approved as the commander of military unit or the chief of organization (further – the commander of air unit) in form, according to appendix 1-1 to these rules.

10. The aircrew, persons performing management and management of flights, to operators of air traffic control, operators of BVS and parachutists is 6 months old not later, after the next medical examination in medical division of air unit medical examination with participation of the therapist and neuropathologist is performed. On medical indications profile specialists are attracted.";

add with Item 10-1 of the following content:

"10-1. The aviation land specialists in servicing of the aircraft equipment performing activities for land ensuring flights of aircrafts, aviation works, maintenance of aircrafts, operation of land technical means of air traffic control, navigation landings and bonds have routine medical examination once a year.";

state Item 11 in the following edition:

"11. Results of medical examinations are entered in the medical book of aviation personnel of the state aircraft of the Republic of Kazakhstan (aircrew, persons performing management and management of flights, operators of air traffic control, operators of pilotless aircrafts, parachutists) in form, according to appendix 1-2 to these rules, in chronological procedure, at the same time the following data are reflected:

1) date of survey;

2) claims to the state of health;

3) the postponed diseases (injuries) during the period between medical examinations and their outcome;

4) studying of reactions of organism to flights (portability of flights);

5) influence of the available disease on working capacity and quality of accomplishment of flight tasks;

6) results of anthropometrical measurements and researches of functional capability of cardiovascular system;

7) shortly objective data of physical examination. At persons having variations in the state of health the objective data according to nature of disease and change which happened for the period between surveys are entered;

8) result of functional load test;

9) conclusion about the state of health and drawing of the diagnosis;

10) the decision on the admission to professional activity.";

add with Item 11-1 of the following content:

"11-1. Requests of aviation personnel for medical care, results of physical examination, the conducted treatment, medical examinations on recovery are entered in the insert to the medical book of aviation personnel of the state aircraft of the Republic of Kazakhstan (aircrew, persons performing management and management of flights, operators of air traffic control, operators of pilotless aircrafts, parachutists) in form, according to appendix 1-3 to these rules.";

state Item 20 in the following edition:

"20. Medical support during preparation for flights includes:

1) studying of the planned table of flights on compliance of the planned flight loading for health reasons and physical endurance of the aviation personnel planned for flights;

2) planning of medical support of flights in accordance with the terms and nature of the forthcoming flights;

3) informing aviation personnel on psychophysiological features of the forthcoming flights in form of work (conversations), teaching aviation medicine and survival in the conditions of autonomous existence, special researches and trainings in relation to nature of the planned flights;

4) choice of protective equipment and its adjustment, check of operation, sanitary and hygienic condition and storage conditions of protective equipment;

5) check of completeness and condition of property of medical post of airfield, medical property of rescue paraborne group and land search and rescue team, onboard medical first-aid kits and medicamentous group of emergency inventory;

6) check of compliance of food to nature of the forthcoming flights;

7) check of full value of diet and observance of the mode of preflight food;

8) before filling of the aircraft with oxygen, the oxygen check (supporting documents its quality) given for gas station of life support system on the aircraft according to appendix 1-4 to these rules, and also hygienic condition of means of gas station (charging) of oxygen which influence providing accident-free aircrafts of operation.";

state Item 47 in the following edition:

"47. Treat special researches and trainings of aviation personnel:

1) research on portability of the moderated and expressed degrees of hypoxia, the relieved tension and fast changings of barometric pressure;

2) research on portability of breath by oxygen under excessive pressure;

3) research on portability of static muscular loads.";

exclude Item 57;

to state appendix of 1 these rules according to appendix 1 to this order;

add with appendices 1-1, 1-2, 1-3, 1-4 according to appendices 2, of 3, of 4, 5 to this order.

2. To provide to management of the commander-in-chief Silami of air defense of Armed Forces of the Republic of Kazakhstan:

1) state registration of this order in the Ministry of Justice of the Republic of Kazakhstan;

2) placement of this order on Internet resource of the Ministry of Defence of the Republic of Kazakhstan after its first official publication;

3) the direction of data in Legal department of the Ministry of Defence of the Republic of Kazakhstan on execution of subitems 1) and 2) this Item within ten calendar days from the date of state registration.

3. To impose control of execution of this order on heads of governing bodies of the state aircraft of the Republic of Kazakhstan.

4. Bring this order to the interested officials and structural divisions.

5. This order becomes effective after ten calendar days after day of its first official publication.

It is approved Ministry of Health of the Republic of Kazakhstan

It is approved Service of the state protection of the Republic of Kazakhstan

It is approved Committee of homeland security of the Republic of Kazakhstan

It is approved Ministry of Internal Affairs of the Republic of Kazakhstan

Appendix 1

to the Order of the Minister of Defence of the Republic of Kazakhstan of April 18, 2024 No. 389

Appendix 1

to Rules of medical support of flights of the state aircraft of the Republic of Kazakhstan

Approximate terms of the admission of aircrew and parachutists to professional activity after recovery after the postponed diseases and injuries

№ of payment order	Diseases (injury)	Place of treatment	The subjective and objective data determining recovery	The admission to professional activity
1.	Neuropathies:
	1) occipital and cervical, intercostal, cervicobrachial texture, lumbar and sacral texture of catarrhal etiology, shown pains in typical zones, paresthesias;	Medical aid station	Absence of pains	In 3-5 calendar days after consultation of the neuropathologist

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